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USMLE · Question #533

USMLE Question #533: Real Exam Question with Answer & Explanation

The correct answer is A. Androgen insensitivity. See the full explanation below for the reasoning.

Question

A 17-year-old girl has never had a menstrual period. Physical examination shows a normal female body habitus, normal breast development, and normal appearing external genitalia. She has no axillary or pubic hair. The patient refuses to have a pelvic or rectal examination. Which of the following is the most likely explanation for the clinical presentation?

Options

  • AAndrogen insensitivity
  • BCongenital adrenal hyperplasia
  • CEctodermal dysplasia
  • DA psychiatric disorder
  • EA sex chromosome mosaicism

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